Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.61 / $2,056.00 / $4,933.00	Facility		$347.61	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.88 / $347.61 / $509.34	Professional		$263.88	$347.61	$509.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.33 / $505.62 / $661.80	Facility		$421.33	$505.62	$661.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $410.84 / $685.46	Professional		$78.06	$410.84	$685.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.26 / $377.86 / $783.30	Professional		$239.26	$377.86	$783.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $363.80 / $2,056.00 / $4,933.00	Facility		$363.80	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $347.61 / $382.63 / $571.73	Professional		$347.61	$382.63	$571.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $329.56 / $502.01	Professional		$31.89	$329.56	$502.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,036.00	Facility		$1,050.00	$3,569.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.54 / $487.24 / $651.90	Professional		$368.54	$487.24	$651.90